NPIMap

Organization Active NPI

Satellite Healthcare Central States LLC

Doing business as Satellite Healthcare Mueller

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Austin, TX
National Provider Identifier
1114012903
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110238 Issued in TX
Legal business name
SATELLITE HEALTHCARE CENTRAL STATES LLC
Doing business as
Satellite Healthcare Mueller
Practice address
1801 E 51St St
Building G Suite 100
Austin, TX 78723-3434
Phone
(512) 927-0300
Fax
(512) 391-1520
NPI assigned
Oct 4, 2006
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan L Del Bene
Title
Secretary/Cfo
Phone
(650) 404-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110238 TX Primary

Addresses

Primary practice location

1801 E 51St St
Building G Suite 100
Austin, TX 78723-3434

Mailing address

300 Santana Row
Ste 300
San Jose, CA 95128-2423
Phone (650) 404-3600

Other identifiers 2

IdentifierTypeStateIssuer
110238OtherTXSTATE OF TEXAS
185969606MedicaidTX

Other names 1

  • Satellite Healthcare Mueller Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Dialysis CTRS Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1114012903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "650-404-3600",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 51ST ST",
            "address_2": "BUILDING G SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233434",
            "telephone_number": "512-927-0300",
            "fax_number": "512-391-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE CENTRAL STATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "650-404-3618"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "110238",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185969606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Mueller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.